This doctor has a system

Chapter 64 64. Shi Peiyuan Was Double Killed
"Please allow me to fall to the ground and let the silence bury the past"

The two of them were eating each other's pig's head meat, when Gao Feng's phone rang, it was from the mattress seller.

Gao Feng dislikes him a bit, he doesn't call him sooner or later, I'm busy right now.

"Hey, handsome guy, your mattress is here, come to the door, I'll send it up for you."

"Why don't you wait for me for a while?" Gao Feng asked him tentatively, "I'm going to have something to do."

"Aren't you in a hurry?" The boss said loudly, "The security guards won't let us stay at the door for too long, so hurry up."

Hurry up and gnaw for another 2 minutes, Li Xinyao is a little out of breath, let's stop here for today, Gao Feng thinks it's almost done, if it continues, the two of them will easily sleep badly at night.

"I'll help you." Gao Feng felt that the mattresses were quite heavy.

"Where can I use you." A worker brought by the boss grinned, "That's what I do."

He quickly picked up one and walked into the elevator.

"Do you want this?" Gao Feng pointed to the replaced old mattress and said to the worker, "If you don't want it, I'll throw it in the trash."

"It's never been used much! There are two plastic films on it that haven't been torn off." The boss stepped forward and looked, "You're such a waste."

"The mattress must be new, it's the rule in our hometown." Gao Feng explained.

"How much do you want to sell?" the worker asked.

"No money, just move away."

"That's fine!" The two were very happy.
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When Gao Feng returned to the dormitory, the three of Li Wenbin were playing poker again, and the three of them seemed to have no other way of pastime.

"How about going to work in the department on the first day? It's different from the time of regular training." Li Wenbin asked.

"It's okay, I have a colleague who doesn't welcome me very much." Gao Feng sat next to the three of them, "It's a bit strange, we haven't dealt with each other before."

"What's so strange about this?" Li Wenbin glanced at Gao Feng, "There is no love for no reason in the world, but there is definitely hatred for no reason."

"Human nature is evil!" he said.

"Brother Wenbin, good idea." Gao Feng complimented him.

Li Wenbin was very proud, "I am older than you, and I must have rich experience. I have seen such things a lot."

"Thoughts back then" he wanted to play again.

"Explosion!" Wang Xuanxuan threw four threes, "I only have one card left!"

"Oh! My god." Li Wenbin scolded, "Such a good card is not called a landlord, you kid is bullying me!"

When Gao Feng came to the department early the next morning, Dong Qianqian was already sitting by the computer.

"Sister Qianqian, why are you here so early?" Gao Feng looked at his watch, it was just past seven o'clock.

"I can't sleep, I go to bed early at night, and wake up at six o'clock every morning." Dong Qianqian handed him a bag of yogurt, "It's not too early for you to come."

"The patient with lung cancer yesterday should not have a tumor recurrence." Gao Feng Dong Qianqian said, "I think it is heart failure induced by infection."

"That's pretty good." Dong Qianqian was a little happy, "This person is still from my hometown."

Director Zhao also participated in the handover today. Today is the big ward round of the group. Dong Qianqian, Shi Peiyuan, Gao Feng, and Li Youliang all followed Director Zhao, followed by 4 Gui Peisheng.

"Who wrote this medical record?" Director Zhao looked at the inspection car, "Why is the date of the last menstrual period still the year before last?"

"Go back and change it quickly!"

"Who is in charge of this patient?" Director Zhao asked back.

A Gui Peisheng quickly raised his hand.

"You made the doctor's order?"

"No, the doctor's order was given by Teacher Shi." Gui Peisheng felt that the director's tone was wrong, so he said quickly.

"I'm not worthy of independently prescribing a doctor's order now." Gui Peisheng blamed himself in his heart.

After leaving the ward, Director Zhao stopped, and everyone quickly stood against the wall.

"Peiyuan, why is this patient taking levofloxacin?"

"Mycoplasma IgM is positive in the five respiratory tract infection items checked by the patient, which can be covered by levofloxacin." Shi Peiyuan didn't think it was wrong.

"How old is the patient?" Director Zhao asked calmly.

"17 years old." Shi Peiyuan was a little confused, why did he ask about his age.

"With this medicine, have you communicated to the patient's family in advance?"

What's the point of communication? Shi Peiyuan felt that what Director Zhao said was a bit outrageous.

Of course, when a patient comes to the hospital, he must listen to the doctor’s instructions. What’s the point of using an antibiotic? Besides, levofloxacin is not expensive.

"You..." Director Zhao pointed to Gui Peisheng, "Can you tell me that this medication is reasonable?"

This female Pearson is the one brought by Dong Qianqian. She said a little nervously: "It seems unreasonable. This levofloxacin cannot be used for people under the age of 18."

"Why? Tell me why."

"Maybe it will make children grow taller." Pearson, the female judge, became more nervous now.

"That's very good." Director Zhao praised her with a smile, and the latter blushed all of a sudden.

"Gao Feng, come and tell everyone the details." Director Zhao called the roll call.

"Levofloxacin is a quinolone antibiotic. Some patients may experience some adverse reactions after use, including Achilles tendonitis or Achilles tendon rupture."

"Studies have found that the drug can cause joint lesions when given to a variety of young animals."

"For people under the age of 18, their bone development is not fully mature, not fully developed, and has no final shape. Using levofloxacin is likely to cause bone and joint damage, which will affect their growth and development."

After Gao Feng finished speaking, he glanced at Shi Peiyuan. The latter was expressionless, standing there like a mallet.

Hey, the young man has a very good mental quality.

"Peiyuan, look up the instruction manual when you use the medicine in the future. Even Gui Peisheng knows these things, you are a doctor of medicine!" Director Zhao didn't give Shi Peiyuan any face.

Shi Peiyuan's body trembled, his lips were bitten and turned pale.

"He broke the defense!" Li Youliang winked at Gao Feng.

"Hurry up and end the rounds!" Shi Peiyuan shouted in his heart, and at the same time he hated Director Zhao.

But what happened next didn't go as he wished. When bed 63 was found, Director Zhao frowned again.

"Who cares about this patient?"

Everyone turned their attention to Shi Peiyuan, who just wanted to scold his mother, so what? !

"What's the condition of this patient?"

"This patient was transferred from sub-severe respiratory disease. The underlying disease was chronic obstructive pulmonary disease. This time, pulmonary encephalopathy occurred. He was intubated and put on a ventilator in sub-severe respiratory disease."

"The tube was pulled out the day before yesterday, and it was transferred out yesterday." Shi Peiyuan felt relieved. This patient's medications are all the usual sub-severe respiratory diseases. There should be nothing wrong with it, right? !
"This patient took Saccharomyces boulardii powder (Yihuo) orally!" Director Zhao looked unhappy, "Who asked you to use it?"

Saccharomyces boulardii Powder (Yihuo) is used to treat diarrhea in adults and children, and diarrhea symptoms caused by intestinal flora imbalance.

"He has a bit of diarrhea, I think it's a gastrointestinal adverse reaction caused by antibiotics." Shi Peiyuan quickly explained.

"The patient is using a central venous catheter! Can you read the instructions when you take the medicine!" Director Zhao is really angry now, why does this doctor Shi always make mistakes.

The instruction manual of Saccharomyces boulardii powder (Yihuo) clearly states: patients with central venous catheter infusion are contraindicated.

(End of this chapter)